TAMMY D MANDARINO - Dentist License in Wisconsin | # 019021813

TAMMY D MANDARINO

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021813

License Status

NOT RENEWED

Business

N

First Name

TAMMY D

Last Name

MANDARINO

Business Name

TAMMY D MANDARINO

Original Issue Date

10/18/1989

Effective Date

10/18/1989

Expiration Date

09/30/2004

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005